Exercise as an Adjuvant to Aphasia Therapy

NCT ID: NCT01113879

Last Updated: 2019-07-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

9 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2012-08-31

Brief Summary

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The purpose of the study is to reveal if individuals who participate in aerobic activity demonstrate greater improvement in language abilities than patients who do not participate in aerobic activity.

Detailed Description

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The objective of this research project is to reveal if individuals who participate in aerobic activity demonstrate greater improvement in language abilities with treatment than patients who do not participate in aerobic activity. As secondary objectives, we will determine if there is a direct relationship between either brain efficiency or increases in Brain Derived Neurotrophic Factor (BDNF) after exercise and higher learning rates in aphasia.

Conditions

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Aphasia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

The study used a single-subject, multiple-baseline design across behaviors. Following assessment and baseline procedures, participants completed 2 therapy periods: Block 1 was aphasia therapy alone, and Block 2 was aphasia therapy plus aerobic exercise or stretching.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Aphasia therapy with an exercise adjuvant

Aphasia therapy for anomia: The treatment is a traditional lexical/semantic stimulation approach during which subjects will attempt to name drawings of objects.

Aerobic exercise: An aerobic exercise intervention will target cardiorespiratory fitness by progressing from 50-70% of the participants' maximum heart rate.

Group Type EXPERIMENTAL

Aerobic exercise

Intervention Type BEHAVIORAL

An aerobic exercise intervention will target cardiorespiratory fitness by progressing from 50-70% of the participants' maximum heart rate.

Aphasia therapy with a stretching adjuvant

Aphasia therapy for anomia: The treatment is a traditional lexical/semantic stimulation approach during which subjects will attempt to name drawings of objects.

Stretching: Stretching will occur for 50 minutes a day, three days/week for 12 weeks.

Group Type PLACEBO_COMPARATOR

Stretching

Intervention Type BEHAVIORAL

Stretching will occur for 50 minutes a day, three days/week for 12 weeks.

Interventions

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Aerobic exercise

An aerobic exercise intervention will target cardiorespiratory fitness by progressing from 50-70% of the participants' maximum heart rate.

Intervention Type BEHAVIORAL

Stretching

Stretching will occur for 50 minutes a day, three days/week for 12 weeks.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Post-stroke aphasia
* at least 6 months post-stroke
* at least minimally intact auditory verbal comprehension
* pre-morbidly right handed
* native English speaker

Exclusion Criteria

* contraindications for fMRI (metal implants, claustrophobia)
* inability to pass an exercise tolerance test
* significant depression
* uncorrected hearing or vision problems
* severe apraxia of speech
* regularly perform 20 minutes of cardiovascular exercise 3 times per week
Minimum Eligible Age

20 Years

Maximum Eligible Age

95 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Brooks Rehabilitation

OTHER

Sponsor Role collaborator

VA Office of Research and Development

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stacy M. Harnish, PhD CCC/SLP

Role: PRINCIPAL_INVESTIGATOR

North Florida/South Georgia Veterans Health System

Locations

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North Florida/South Georgia Veterans Health System

Gainesville, Florida, United States

Site Status

Brooks Rehabilitation Clinical Research Center

Jacksonville, Florida, United States

Site Status

Countries

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United States

References

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Harnish SM, Rodriguez AD, Blackett DS, Gregory C, Seeds L, Boatright JH, Crosson B. Aerobic Exercise as an Adjuvant to Aphasia Therapy: Theory, Preliminary Findings, and Future Directions. Clin Ther. 2018 Jan;40(1):35-48.e6. doi: 10.1016/j.clinthera.2017.12.002. Epub 2017 Dec 23.

Reference Type DERIVED
PMID: 29277374 (View on PubMed)

Related Links

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http://www.brrc.research.va.gov

Click here for more information about this study: Exercise as an Adjuvant to Aphasia Therapy

Other Identifiers

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C7175-M

Identifier Type: -

Identifier Source: org_study_id

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